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NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY:

STATE BAR NUMBER

Reserved for Clerk's File Stamp

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
COURTHOUSE ADDRESS: PLAINTIFF: DEFENDANT:

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NOTICE OF APPEAL AND NOTICE OF FILING NOTICE OF APPEAL (Limited Civil)

CASE NUMBER:

NOTICE OF APPEAL
____________________________________________________________________________________________________________________________________________ (Appellant's Name) (Plaintiff/Defendant)

in the above-entitled action hereby appeal to the Appellate Division of the Superior Court for the County of Los Angeles, State of California, from the _____________________________________ entered in the above-named Superior Court on _____________________in
(Judgment/Order)

Division/Dept. _____________________in favor of _______________________________________. Dated: ____________________
_________________________________________________________________ (Signature of Appellant or Appellant's Attorney

NOTICE Of FILING NOTICE OF APPEAL
To: _____________________________________________________________________ To: _____________________________________________________________________ YOU AND EACH OF YOU WILL PLEASE TAKE NOTICE that on ______________________ in the above-entitled action the appellant filed with the Clerk of the above-named Court the above NOTICE OF APPEAL. JOHN A. CLARKE, Executive Officer/Clerk Dated: ____________________ By: ____________________________________________________________________
Deputy Clerk

CERTIFICATE OF MAILING
I, the below named Executive Officer/Clerk of the above-entitled court, do hereby certify that I am not a party to the cause herein, and that on this date I served the Notice of Filing Notice of Appeal upon each party or counsel named below by depositing in the United States mail at the courthouse in __________________________, California, one copy of the original filed/entered herein in a separate sealed envelope to each address as shown below with the postage thereon fully prepaid.

JOHN A. CLARKE, Executive Officer/Clerk

Dated: ____________________

By: _______________________________________ Deputy Clerk To protect your privacy, please press the Clear This Form button after you have printed this form.

LACIV 114 (Rev. 01/07) LASC Approved 03-04

NOTICE OF APPEAL AND NOTICE OF FILING NOTICE OF APPEAL

Code Civ. Proc,, § 1013a(3), Cal. Rules of Court, rule 8.750(a) & (b)

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